Reka twige ku mutsi wo mu bwoko bwa subclavian utanga amaraso mu gice cyo hejuru cy'umubiri wawe.

Ese wigeze wibaza uburyo amaraso yakoreshejwe mu gice cyo hejuru cy'umubiri wacu, ni ukuvuga mu maboko, mu ijosi no mu mutwe, ni ukuvuga amaraso afite umwuka muke, asubira mu mutima? Umutima ni wo mutsi w'ingenzi cyane ufasha muri ibyo ni umutsi wo mu bwoko bwa subclavian. Ese twavuga kuri ibi mu buryo bworoshye, mu buryo wumva?

Ni iyihe nshingano y'umutsi wo mu bwoko bwa subclavian?

Mu magambo make, imitsi ya Subclavia ni nk'umutsi munini ufasha amaraso gutembera mu gice cyo hejuru cy'umubiri wacu. Ifasha amaraso gutembera neza mu maboko yawe, mu mutwe no mu ijosi. Amaraso yo mu mubiri wacu anyura mu mitsi. Imitsi itwara amaraso meza kandi akungahaye kuri ogisijeni mu ngingo zacu no mu ngingo zacu. Hanyuma, imitsi ikusanya amaraso yakuwemo ogisijeni, yuzuyemo imyanda ikayagarura mu mutima. Nyuma yo kugera mu mutima, amaraso ajya mu bihaha kugira ngo yongere anyurwe ogisijeni maze agatangira urugendo rushya. Tekereza, aya maraso yakuwemo ogisijeni agomba kunyura mu mitsi myinshi mito kugira ngo agere ku mutima. Kimwe n'imihanda yo mu mujyi muto. Nubwo iyi mitsi ihujwe kandi igafatana mu byerekezo bitandukanye, yose amaherezo igana ahantu hamwe, ari wo mutima wacu. Kimwe n'imitsi myinshi, imitsi ya subclavia igenda iteganye n'imitsi yayo. Tekereza ko ari imihanda ibiri mito, y'icyerekezo kimwe igenda ihanamye. Umutsi wa subclavia utwara amaraso kure y'umutima, mu gihe umutsi wa subclavia uri hafi utwara amaraso mu mutima. Uretse gufasha mu gutembera kw'amaraso, imitsi yo mu bwoko bwa subclavian inagira uruhare runini mu buvuzi bumwe na bumwe.

• Uburyo bwo Kugera mu Mitsi yo Hagati: Hari igihe abaganga bakoresha imitsi yo mu bwoko bwa subclavian kugira ngo bashyiremo icyo bita 'umurongo wo hagati'. Iki ni ikintu gikunze gukorwa ku bantu bari mu byumba byita ku barwayi barembye cyane (ICU). Catheters ni ibikoresho bito bisa n'imiyoboro. Ibi bikoreshwa mu gutanga amazi n'imiti ku mubiri. Nubwo ubu buryo bwo kugera mu mitsi yo hagati ari ingenzi cyane mu buvuzi, hari igihe hashobora kubaho ingorane nko kuva amaraso, kwandura indwara, umutima utari mwiza ( arrhythmia ) , amaraso kuzura mu mitsi (venous thrombosis ) , no kugwa kw'ibihaha ( pneumothorax ) .
• Insinga zikora pacemaker : Imashini ikora pacemaker igenzura umuvuduko w'umutima.Hari igihe abaganga bakoresha umutsi wa subclavian kugira ngo bashyiremo insinga z'igikoresho. Kimwe n'umurongo wo hagati, ibi bigomba gukorwa witonze cyane kugira ngo hirindwe ingorane.

Iyi mitsi yo mu bwoko bwa subclavian iherereye he?

Noneho reka turebe aho iyi mitsi ya subclavian iherereye mu mubiri wacu. Imitsi yawe yombi ya subclavian iherereye iburyo n'ibumoso iri munsi y'igufwa ryawe (Clavicle). Mu by'ukuri, uyu mutsi utangirira hafi y'urutugu, hejuru y'igituza, aho imbavu zitangirira. Hanyuma ugenda ugororoka nk'umugongo, hanyuma wongere umanuke werekeza ku mutima. Tekereza 'm' ishushanyije mu gituza cyawe, kandi aho 'm' imanuka iva hagati, hafi kugera hejuru y'umutima. Izo mpande ebyiri ziri hejuru y'iyo 'm' ni imitsi ya subclavian.

Ni hehe imitsi yo mu bwoko bwa subclavian ikura amaraso?

Iyi mitsi yo mu bwoko bwa subclavian yakira amaraso ava mu mitsi yo mu gatuza . Iyi mitsi yo mu gatuza ni imitsi mito iri mu maboko yawe iva mu mitwe y'intoki zawe. Wibuka uwo 'm' twavuze mbere? Iyi mitsi yo mu gatuza isa n'imirongo ibiri izamuka iva ku mpande zombi za 'm'. Ni ukuvuga ko izana amaraso ku mitwe ibiri yitwa imitsi yo mu bwoko bwa subclavian. Hanyuma, amaraso ava mu mitsi yo mu bwoko bwa subclavian ajya mu mitsi yo mu bwoko bwa brachiocephalic iburyo n'ibumoso. Iyi ni imirongo ibiri iri hagati ya 'm'. Amaherezo, hasi ya 'm', iyi mitsi ibiri yo mu bwoko bwa brachiocephalic irahurira hamwe igakora umutsi munini witwa Superior Vena Cava . Uwo mutsi munini niho amaraso ajya mu mutima. Urabyumva aho ayo maraso ajya?

Imitsi ya subclavian ikozwe mu ki?

Kimwe n'indi mitsi yacu, imitsi ya subclavian igizwe n'ibice bitatu by'imitsi n'udupira:

• Tunica Adventitia: Uru ni rwo rukurikira inyuma. Ni rwo rutuma imitsi ihinduka, imiterere n'imbaraga.
• Tunica Media: Uru ni urwego rwo hagati. Rurimo uturemangingo tw’imitsi tworoshye. Utwo turemangingo ni two twemerera imitsi kwaguka no kwigabanya uko amaraso atembera muri rwo.
• Tunica Intima: Uru ni rwo ruhererekane rw'imbere. Rufite agace k'imbere kagizwe n'uturemangingo tw'inyuma tworoshye. Ibi bituma amaraso atembera byoroshye mu mitsi nta nkomyi.

Ni izihe ndwara zigira ingaruka ku mutsi wo mu bwoko bwa subclavian?

Hari indwara zimwe na zimwe zishobora kwibasira imitsi yo mu bwoko bwa subclavian. Reka turebe izo ari zo.

• Amaraso afungana mu mitsi miremire (Kuziba kw'imitsi yo mu bwonko - DVT): Tekereza uko bigenda iyo amaraso apfunditse mu mitsi yo mu bwonko yawe ikagira ikibazo. Ni ko DVT yitwa. Akenshi, iyi DVT ibaho mu maguru. Ariko rimwe na rimwe, amaraso ashobora no gupfundikira mu mitsi yo mu gice cyo hejuru cy'umubiri, urugero, mu mitsi yo mu bwonko. Ibi bishobora no kubaho nk'ingorane ya catheter yo mu mitsi yo hagati yavuzwe haruguru. DVT ni indwara iteje akaga cyane. Kuko iyo iyi ndwara ipfunditse ikabuza imitsi yo mu bihaha, ishobora gutera indwara yica yitwa pulmonary embolism . Ibimenyetso bya DVT bishobora kuba birimo kubyimba ukuboko, kumererwa nabi, cyangwa kumva uburemere mu kuboko.
• Thrombosis y'imitsi yo mu ruhago: Iyi yitwa kandi Paget-Schroetter Syndrome , cyangwa 'Effort Thrombosis' . Iyi ni ubwoko budasanzwe bwa DVT. Ikunze kugaragara mu rubyiruko ruri hagati y'imyaka 15 na 45. Iyi ndwara ishobora kugaragara ku bantu bakina siporo cyangwa baterura ibintu biremereye bagiye ku kazi. Iki kibazo gikunze gutangirira ku ngendo nko kuzamura ukuboko hejuru y'umutwe kenshi. Ibimenyetso bishobora kuba birimo kubyimba, ububabare, no guhinduka ibara ry'ubururu ku kuboko.

Niba ufite kimwe muri ibi bimenyetso, nyamuneka hamagara 1990 ako kanya cyangwa ujye kwa muganga uri hafi. Ibi ni ibibazo byihutirwa by’ubuvuzi bisaba kuvurwa byihuse.

Ni gute nakomeza kugira ubuzima bwiza mu mitsi yanjye?

Hari ibintu byinshi ushobora gukora kugira ngo imitsi yawe ya subclavian ikomeze kugira ubuzima bwiza, ndetse n'indi mitsi yose yo mu mubiri wawe, ikomeze gukora neza.

• Genda utembera: Gerageza kugenda nibura iminota 30 ku munsi, nibura iminsi itanu mu cyumweru.
• Komeza gukora siporo umunsi wose: Aho kwicara ahantu hamwe igihe kirekire, gendagenda gato. Ibi bizafasha kunoza gutembera kw'amaraso mu mubiri wose.
• Kurya indyo yuzuye umutima: Ibi bishobora kugufasha kugenzura umuvuduko w'amaraso, urugero rwa cholesterol, n'ibiro byawe.
• Nywa amazi menshi.
• Niba ubonye ibimenyetso by'ikibazo cy'imitsi, ntubyirengagize. Shaka muganga wawe ako kanya. Kumenya ibibazo hakiri kare bishobora kugufasha kubikumira ko bikomeye kurushaho.

Wibuke ko umutsi wawe wa subclavian ari igice cy'ingenzi cyane cy'imitsi yawe. Ifasha kugarura amaraso ava mu mubiri wawe wo hejuru mu mutima wawe. Niba warigeze kugira ibibazo by'imitsi mbere, nko kuzura amaraso, vugana na muganga wawe. Ashobora kukubwira uburyo bwo kugabanya ibyago byo kuzagira ibibazo mu gihe kizaza.

Ubutumwa bwo kujyana mu rugo

Noneho rero, dore ibintu bimwe na bimwe ugomba kwibuka mu byo twaganiriyeho uyu munsi:

• Umutsi wo mu bwoko bwa subclavian ni umutsi w'amaraso w'ingenzi uherereye hafi y'urutugu rwawe, munsi gato y'igufwa ryawe. Utwara amaraso make adafite umwuka wa ogisijeni mu mubiri wo hejuru (amaboko, ijosi, n'umutwe) ukayajyana mu mutima.
• Uyu mutsi ukoreshwa mu buvuzi bumwe na bumwe, urugero, mu gushyiramo insinga zo hagati cyangwa pacemaker.
• Ibibazo nk'ibibyimba by'amaraso mu mitsi ya subclavian (DVT, Axillary-Subclavian Vein Thrombosis) bishobora kubaho. Niba ubonye ibimenyetso nko kubyimba, ububabare, cyangwa ubururu mu kuboko kwawe , ugomba kwihutira gushaka inama kwa muganga.
• Ushobora gukomeza kugira ubuzima bwiza bw'imitsi yawe ukurikiza ubuzima bwiza (kugenda neza, kurya indyo yuzuye, kunywa amazi menshi).
• Ni ngombwa cyane kubibwira muganga utirengagije ibimenyetso bito.